Ann Richardson1, James Hayes2, Chris Frampton3, John Potter4. 1. Professor, Wayne Francis Cancer Epidemiology Research Group, School of Health Sciences, University of Canterbury, Christchurch. 2. Senior Academic Lecturer, Medical Imaging, Department of Applied Science and Allied Health, Ara Institute of Canterbury, Christchurch. 3. Professor, Biostatistics and Computational Biology Unit, University of Otago, Christchurch. 4. Chief Science Advisor, Ministry of Health, Wellington, Adjunct Professor, School of Health Sciences, University of Canterbury, Christchurch, Professorial Fellow, Centre for Public Health Research, Massey University, Wellington, Senior Advisor, Fred Hutchinson Cancer Research Center, Seattle, USA.
Abstract
AIM: To estimate population attributable fractions for modifiable lifestyle factors and colorectal cancer in New Zealand. METHOD: Relative risks for lifestyle risk factors for colorectal cancer, and population data on the prevalence of exposure in New Zealand, were used to estimate the population attributable fraction (PAF) for each risk factor. RESULTS: Six modifiable lifestyle risk factors were identified. The PAFs for these risk factors were 9% for obesity, 7% for alcohol, 4% for physical inactivity, 3% for smoking, 5% for consumption of red meat and 3% for processed meat. PAFs differed by ethnic group and sex. In women, the highest PAFs were 19% for obesity in Pacific women, 14% for obesity in Māori women, 7% for physical inactivity in Asian women, and 8% for obesity in European/other women. In men, the highest PAFs were 17% for obesity in Pacific men, 14% for high alcohol consumption in Māori men, 5% for physical inactivity in Asian men and 9% for high alcohol consumption in European/other men. CONCLUSION: If obesity, alcohol consumption, smoking and consumption of red and processed meats could be reduced, and physical activity could be increased among New Zealanders, it would reduce the risk of colorectal cancer considerably.
AIM: To estimate population attributable fractions for modifiable lifestyle factors and colorectal cancer in New Zealand. METHOD: Relative risks for lifestyle risk factors for colorectal cancer, and population data on the prevalence of exposure in New Zealand, were used to estimate the population attributable fraction (PAF) for each risk factor. RESULTS: Six modifiable lifestyle risk factors were identified. The PAFs for these risk factors were 9% for obesity, 7% for alcohol, 4% for physical inactivity, 3% for smoking, 5% for consumption of red meat and 3% for processed meat. PAFs differed by ethnic group and sex. In women, the highest PAFs were 19% for obesity in Pacific women, 14% for obesity in Māori women, 7% for physical inactivity in Asian women, and 8% for obesity in European/other women. In men, the highest PAFs were 17% for obesity in Pacific men, 14% for high alcohol consumption in Māori men, 5% for physical inactivity in Asian men and 9% for high alcohol consumption in European/other men. CONCLUSION: If obesity, alcohol consumption, smoking and consumption of red and processed meats could be reduced, and physical activity could be increased among New Zealanders, it would reduce the risk of colorectal cancer considerably.
Authors: Gundula Behrens; Thomas Gredner; Christian Stock; Michael F Leitzmann; Hermann Brenner; Ute Mons Journal: Dtsch Arztebl Int Date: 2018-09-03 Impact factor: 5.594
Authors: Charlene M Rapsey; J Elisabeth Wells; Ms Chrianna Bharat; Meyer Glantz; Ronald C Kessler; Kate M Scott Journal: Alcohol Alcohol Date: 2019-01-01 Impact factor: 2.826
Authors: Elham Khodayari Moez; Katerina Maximova; Shannon Sim; Ambikaipakan Senthilselvan; Roman Pabayo Journal: Int J Environ Res Public Health Date: 2022-06-25 Impact factor: 4.614